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Elizabeth Doezema
Peer Specialist in Grand Rapids, Michigan
NPI 1326496928

Elizabeth Doezema is a Peer Specialist based in Walker, MI. Elizabeth Doezema practices in Grand Rapids, MI. The NPI Number for Elizabeth Doezema is 1326496928 and holds a License No. (Michigan).

The current practice location address for Elizabeth Doezema is 1101 Ball Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-456-7775 and via fax at 616-774-2044.

Location: 1101 Ball Ave Ne, Grand Rapids, MI, 49534-8428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326496928
Provider Name
Elizabeth Doezema
Credential
Provider Entity Type
Individual
Gender
Female
Address
1101 Ball Ave Ne, Grand Rapids, MI, 49534-8428
Phone Number
616-456-7775
Fax Number
616-774-2044
Provider Enumeration Date
05/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-7775
Fax Number
616-774-2044
person
Provider Business Mailing Address Details
Address
1101 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-7775
Fax Number
616-774-2044
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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